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General NPI Number Information
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NPI Number | 1740783828
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Entity Type | Organization
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Legal Business Name | ACUINHEALING
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Dates
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Enumeration Date | 03/14/2018
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Last Update Date | 01/21/2020
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Provider Practice Location Address
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Address Line | 250 BEL MARIN KEYS BLVD STE G6
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City | NOVATO
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State | CA
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Zip | 94949-5727
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Country | US
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Telephone | 415-457-4540
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Fax |
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Provider Business Mailing Address
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Address Line | 250 BEL MARIN KEYS BLVD STE G6
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City | NOVATO
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State | CA
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Zip | 94949-5727
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Country | US
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Telephone | 415-457-4540
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Fax |
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Authorized Official
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Title or Position | LICENSED ACUPUNCTURIST
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Name | RROBERT-JIM WUU
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Credential | L.AC
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Telephone | 415-457-4540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC16523
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License Number State | CA
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